NPIMap

Organization Active NPI

Asic Recovery Services LLC

  • Substance Abuse Rehabilitation Facility
  • Fort Worth, TX
National Provider Identifier
1093382517
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ASIC RECOVERY SERVICES LLC
Practice address
3256 Lackland Rd
Fort Worth, TX 76116-5307
Phone
(817) 616-0504
Fax
(817) 616-0758
NPI assigned
Jun 4, 2021
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thea Pham
Title
Owner
Phone
(832) 681-9643

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

3256 Lackland Rd
Fort Worth, TX 76116-5307

Mailing address

3256 Lackland Rd
Fort Worth, TX 76116-5307
Phone (832) 681-9643

National Provider Directory

National Provider Directory
Tax ID family
Asic Counseling Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1093382517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 LACKLAND RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165307",
            "telephone_number": "832-681-9643",
            "fax_number": "817-616-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 LACKLAND RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165307",
            "telephone_number": "817-616-0504",
            "fax_number": "817-616-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIC RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-681-9643"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.